scholarly journals The association of obesity with eating disorders risk: online survey of a large cohort of Russian-speaking individuals seeking medical weight correction assistance

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Grigory V. Rukavishnikov ◽  
Elena V. Verbitskaya ◽  
Olga Yu. Vekovischeva ◽  
Andrey V. Bobrovsky ◽  
Alexander O. Kibitov ◽  
...  

Abstract Background Eating Disorders pose a serious health risk to individuals. Often, eating disorder symptoms are overlooked when assessing obesity risk. The current cross-sectional study was focused on the search of association between disordered eating behaviors evaluated by Eating Attitudes Test 26 (EAT-26) and obesity in a large cohort of Russian-speaking adults seeking online assistance with medical weight correction. Methods The web-based cross-sectional study evaluated the data of online Eating Attitudes Test 26 (EAT-26) completed by 13,341 registered adult visitors of weight loss clinic website. The EAT-26 provides an overall score for potential eating disorders risk, as well as scores for three subscales: Bulimia, dieting, and oral control. Additional self-reported information about sex, weight, height, and age of respondents was used for analysis. The nonparametric analysis of variance and binominal logistic regression modeling were applied to search for an association between obesity and EAT-26 total score and subscales scores. The critical level of the significance was considered as α = 0.05. Results Women (94%) had lower BMI values but higher EAT-26 total score than men, which was indicated as statistically significant by a Wilcoxon Signed-Ranks Test (Z = − 11.80, p < 0.0001). Logistic regression for the whole cohort revealed that Bulimia subscale score was associated with higher risk of obesity (OR = 1.03, 95% CI 1.02–1.05) whereas higher score of EAT-26 oral control subscale was associated with decreased risk of obesity (OR = 0.93, 95% CI 0.91–0.95). Separate analysis for men and women showed that in men higher obesity risk was associated with higher oral control subscale scores (OR = 1.08, 95% CI 1.06–1.11); while in women both dieting and bulimia subscales scores were associated with higher obesity risk (OR = 1.02, 95% CI 1.01–1.03 and OR = 1.03, 95% CI 1.02–1.05, respectively). Older age was associated with obesity risk for both women and men. Conclusions In a large cohort of individuals seeking medical weight correction assistance, the risk of obesity was associated with the higher EAT-26 scores, age, and sex. Moreover, different eating disorder risk profiles were associated with obesity in men and women. Higher oral control subscale score was associated with decreased risk of obesity in women, but with higher risk in men. Older age was a shared obesity risk factor for both sexes. Therefore, the use of EAT-26 would facilitate individual diagnostic assessment for specific eating disorders in different sub-cohorts. Further assessment of separate EAT-26 subscales may be important to predict sex-/age-specific risks of obesity that implies their study in the future. Plain English summary Obesity is a significant health problem. Different factors (e.g. social, biological, and behavioral) are important for their successful treatment. Abnormal eating behaviors may be one of the most likely predictors of increased body weight. This study aims to determine whether there is a significant association between obesity and scores on the eating behavior questionnaire-Eating Attitudes Test-26 (EAT-26)-in a large cohort of adults seeking medical weight correction assistance at a private weight loss clinic web-site. According to the study results, the association was shown for the male sex, older age, and higher Bulimia scores as measured on the EAT-26. Moreover, different EAT-26 scales were associated with obesity risks in women and men subgroups, while older age was a shared risk factor for obesity in both sexes. The findings may suggest sex-/age-specific diagnostic approach and treatment strategies for individuals with obesity.

Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 245
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Manuel Vicente-Martínez ◽  
Javier Sánchez-Sánchez ◽  
Laura Miralles-Amorós ◽  
María Martínez-Olcina ◽  
...  

(1) Background: The preoccupation with the increasing appearance of eating disorders (ED) in athletes continues to grow, especially in athletes who practice team sports. ED severely affects the eating habits of the athletes, who tend to use unhealthy approaches to control their body weight. The development of nutritional education and early interventions by training staff is essential, and these factors are widely perceived as beneficial in sports medicine. This study evaluates the frequency at which beach handball (BH) players develop ED, also comparing the differences by sex and age (junior: adolescents vs. senior: young adults). In addition, the relation between body composition variables and ED was studied. (2) Methods: A descriptive and cross-sectional study was carried out in 69 top elite handball players (36 males and 33 females) from the Spanish National BH Team; who were separated by age (junior: adolescents and senior: young adults). The athletes completed the Eating Attitudes Test in its 26 item version (EAT-26). (3) Results: The prevalence of ED indicated that 11% of females had a high possibility of developing an ED, and 3% of males. Regarding the EAT-26 total score and subscales, no significant differences were found between female and male participants, or between the junior and senior categories. The correlations showed an association between body composition, in terms of body mass index, and the EAT-26 total score in both males and females. In the case of males, the correlation was negative. (4) Conclusions: Although there are no significant differences between sex or categories, it has been found that elite athletes are a population that is at high risk of developing ED.


2012 ◽  
Vol 15 (3) ◽  
pp. 1293-1302 ◽  
Author(s):  
Alejandro Magallares

The literature has found that eating disorders (ED) patients usually have a depression and anxiety diagnosis. However, not many investigations have studied the relationship between ED and well-being. One of the main problems of patients with ED is their body image. These individuals usually see themselves too big but there are not many investigations that focus on how these patients see people with real weight problems. For this reason in this study it is analyzed how women in risk to develop ED see obese people. 456 female students were selected. It was found that women with high scores in the different subscales of the Eating Attitudes Test 26 (EAT-26; dieting, bulimia and oral control) had lower well-being (both subjective and psychological) and worse attitudes toward obese people (measured with Antifat Attitudes Test, AFA, Beliefs About Obese People Scale, BAOP, and Attitudes Toward Obese People Scale, ATOP) compared with women with low scores in the EAT-26.


2006 ◽  
Vol 40 (2) ◽  
pp. 143-149 ◽  
Author(s):  
Piangchai S Jennings ◽  
David Forbes ◽  
Brett Mcdermott ◽  
Gary Hulse ◽  
Sato Juniper

Objective: To examine eating disorder attitudes and psychopathology among female university students in Australia and Thailand. Method: Participants were 110 Caucasian Australians, 130 Asian Australians and 101 Thais in Thailand. The instruments included the Eating Attitudes Test (EAT) and the Eating Disorders Inventory (EDI). Results: Eating disorder attitudes and psychopathology scores in the Thai group were found to be highest. The Asian Australian group did not have significantly higher scores on the EAT-26 than the Caucasian Australian group, but had higher scores in some subscales of the EDI-2. That the Thai group had the highest scores in susceptibility to developing an eating disorder and eating disorder psychopathology may be partially explained in sociocultural terms, with pressure to be thin more extreme in Thailand than in Australia. The evidence suggested that unhealthy eating disorder psychopathology is not limited to Western societies but is already present in Thai and other Asian societies.


2016 ◽  
Vol 2 (1) ◽  
pp. 79-84
Author(s):  
Aqeel Aslam ◽  
Ushna Laraib ◽  
Iqra Afzal ◽  
Shingraf Zaib ◽  
Asma Riaz ◽  
...  

The prevalence of eating disorders among University students has been on rise throughout the world. The present descriptive cross sectional study was conducted to determine the prevalence of eating disorders among the female students of pharmacy department at University of Sargodha, Pakistan using well established EAT-26 questionnaire. The study included 177 female undergraduate pharmacy students from all five years of Pharm D. An EAT-26 score over 20 was indicator of disturbed eating behavior. Out of the total 177 students who participated the study, 47 (26.6%) students had disturbed eating behavior. The mean EAT-26 score was 14.7. According to BMI calculations, 31.64% of total individuals were underweight, 59.32% normal, 6.78% overweight and 2.26% belonged to obese category. The prevalence of eating disorders was found to be much higher than the studies conducted at developed countries. There is an urgent need of an effort to increase awareness of such disorders among students and general public. Conduction of such study at other institutes and at larger scale is recommended.


2016 ◽  
Vol 134 (6) ◽  
pp. 501-507 ◽  
Author(s):  
Maria Angélica Kurpel Diogo ◽  
Gabriel Gomes de Oliveira Ribas ◽  
Thelma Larocca Skare

ABSTRACT CONTEXT AND OBJECTIVE: The pursuit of perfection can cause anxiety and lead dancers to exceed their physical limits. The aim here was to evaluate the prevalence of pain symptoms and eating disorders among professional and amateur dancers. DESIGN AND SETTING: Observational cross-sectional study; Curitiba, PR, Brazil. METHODS: Data on 150 professional and non-professional practitioners of ballet, jazz and street dance were collected through specific questionnaires: Brief Pain Inventory-Short Form (BPI-SF), Eating Attitudes Test-26 (EAT-26), Bulimic Investigatory Test Edinburgh (BITE) and State-Trait Anxiety Inventory-T-6 (STAI-T-6). RESULTS: Pain was observed in 58.6% of the sample, equally between professionals and amateurs (P = 0.19). Ballet dancers had more lower-limb pain than the other groups (P = 0.05). EAT-26 showed a tendency towards more eating disorders among the amateurs (P = 0.06). Higher risk of eating disorders was found among ballet dancers (P = 0.004) and jazz practitioners (P = 0.02) than among street dancers. Amateurs had more symptoms on the BITE scale (P < 0.0001), more pain (P = 0.002) and higher anxiety (P < 0.0001). Eating disorders were more common among females (P = 0.01) and singles (P = 0.02). Professionals were more satisfied with their own body image than amateurs (P < 0.001). CONCLUSIONS: Pain symptoms were found in almost half of the sample, equally among professionals and amateurs as well as between the three dance styles. Female and singles had more eating disorders. Those with eating disorders had higher levels of pain and anxiety.


2014 ◽  
Vol 35 (2) ◽  
pp. 73-78 ◽  
Author(s):  
Jeudi Aguiar dos Reis ◽  
Carlos Reeves Rodrigues Silva Júnior ◽  
Lucinéia de Pinho

The object of this study was aimed at identifying factors associated with the risk of eating disorders in undergraduate students in the area of Health Sciences. It is a cross-sectional, quantitative and descriptive study carried out in Montes Claros, MG (Brazil), from August to October 2012. The profile of the university students was identified and the Eating Attitudes Test (EAT-26) applied. 200, students aged 23.4 ± 6.13 years participated in the study, 76.5% of them females. A frequency of 4.0% of the students were at high risk of developing eating disorders, 21.0% at low risk and 75.0% had no risk factors. Various inadequate self-perceptions of the body, dietary practice, missed breakfasts and snacking during intervals were associated with factors for eating disorder risk (p<0.05). For students with inadequate nutritional status, 34.4% were at risk of an eating disorder (p=0,004). The high risk of developing eating disorders among students in a nutritionally deficient condition indicates that they should receive preventive dietary advice.


2009 ◽  
Vol 58 (3) ◽  
pp. 150-155 ◽  
Author(s):  
Maria Lúcia Magalhães Bosi ◽  
Kátia Yumi Uchimura ◽  
Ronir Raggio Luiz

OBJECTIVE: To characterize eating habits and possible risk factors associated with eating disorders among psychology students, a segment at risk for eating disorders. METHOD: This is a cross-sectional study. The questionnaires Bulimic Investigatory Test Edinburgh (BITE), Eating Attitudes Test (EAT-26), Body Shape Questionnaire (BSQ) and a variety that considers related issues were applied. Statistical Package for the Social Sciences (SPSS) 11.0 was utilized in analysis. The study population was composed of 175 female students, with a mean age of 21.2 (DP ± 3.6 years). RESULTS: A positive result was detected on the EAT-26 for 6.9% of the cases (CI95%: 3.6-11.7%). The prevalence of increased symptoms and intense gravity, according to the BITE questionnaire was 5% (CI95%: 2.4-9.5%) and 2.5% (CI95%: 0.7-6.3%), respectively. According to the findings, 26.29% of the students presented abnormal eating behavior. The population with moderate/severe BSQ scores presented dissatisfaction with corporal weight. CONCLUSION: The results indicate that attention must be given to eating behavior risks within this group. A differentiated gaze is justified with respect to these future professionals, whose practice is jeopardized in cases in which they are themselves the bearers of installed symptoms or precursory behavior.


2019 ◽  
Vol 6 (3) ◽  
pp. 114-119
Author(s):  
Nastaran Miri ◽  
Mostafa Noroozi ◽  
Rosa Zavoshy ◽  
Neda Ezzeddin

Background and aims: Body image is defined as a complex concept involving a person’s thoughts, feelings, and attitudes about his/her body. The body image dissatisfaction may expose the individuals, specifically athletes, to eating disorders (EDs). The aim of this study is to assess the association of body image score with EDs and anthropometric measures in students from university sports teams. Methods: This cross-sectional study was carried out on 225 students from sports teams of Qazvin University in 2014. The samples were selected by the census method. The Multidimensional BodySelf Relations Questionnaire (MBSRQ), eating attitudes test (EAT-26) questionnaire, and demographic information questionnaire were used for collecting data. Anthropometric characteristics were also measured. The data were analyzed in SPSS software version 22.0. Results: The result of the study showed that the association of body image score with age (P=0.012, OR=0.80, CI=0.179, 1.437) and waist-to-height ratio (WHtR) (P=0.013, OR=-52.14, CI=-93.20, -11.08) was positively significant. Although the mean body image score was lower in students with EDs, it was not statistically significant. In addition, there was not a significant association between body image score and other variables such as marital status, gender, educational level, body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and hip circumference (HC) (P>0.05). Conclusion: In this study, the body image had a positive significant association with age, and a negative significant one with WHtR. This may indicate that abdominal obesity plays an important role in body image satisfaction among students from the university sports teams.


2021 ◽  
Vol 37 (3) ◽  
pp. 493-499
Author(s):  
Alvaro Ruiz Maciá ◽  
Yolanda Quiles Marcos

Introducción: El objetivo de este estudio fue examinar la prevalencia de la ON, y analizar su relación con la imagen corporal y conductas características de los Trastornos de la Conducta Alimentaria (TCA), en estudiantes universitarios. Método. Estudio transversal en el que participaron 534 estudiantes universitarios españoles, 422 mujeres y 112 hombres, con una edad media de 22,04 años (DT = 3,41). Se administraron los siguientes instrumentos: cuestionarios variables sociodemográficas y de hábitos alimentarios, el cuestionario ORTO-11-Es, la Teruel Ortorexia Scale (TOS), el Multidimensional Body Shape Relations Questionnaire (MBSRQ-45) y el Eating Attitudes Test (EAT-26). Resultados. El 30,5% de los estudiantes presentó un alto riesgo de ON. Se observaron mayores tendencias ortoréxicas en mujeres. El grupo que presentaba alto riesgo de ON frente al de bajo riesgo mostró un IMC medio-alto, seguían en mayor medida una alimentación de tipo vegano/vegetariano y presentaban puntuaciones significativamente superiores en el MBSRQ-45 (p=,00) y el EAT-26 (p=,00) Conclusiones. Los resultados obtenidos muestran una elevada prevalencia de ON en estudiantes universitarios y su relación con una peor imagen corporal, una mayor preocupación por el aspecto físico y con conductas características de los TCA. Background. The aim of this study was to examine the prevalence of ON and analyze its relationship with self-image and ED behavior in university students. Method. Cross-sectional study with a sample of 534 Spanish university students, 422 women and 112 men with an age mean of 22,04 (SD= 3,41). Questionnaires administered: a sociodemographic and lifestyle questionnaire, the ORTHO-11-Es, the Teruel Orthorexia Scale (TOS), the Multidimensional Body Self Relations Questionnaire (MBSRQ-45) and the Eating Attitudes Test (EAT-26). Results. 30,5% of the sample were on high risk of developing ON. Higher orthorexic tendencies were observed in women. Those at high risk of ON showed higher BMI, higher proportion of veganism/vegetarianism and significantly higher scores on the MBSRQ-45 (p=,00) and EAT-26 (p=,00). Conclusions. Results showed a high prevalence of ON and its relationship with a worse self-image, concern with physical appearance and ED behaviors.


2018 ◽  
Vol 3 (2) ◽  
pp. 79
Author(s):  
Maria Yuliana ◽  
Mustikasari

ABSTRAKRemaja mengalami pertumbuhan dan perkembangan fisik serta psikologis yang pesat. Hal ini membuat remaja rentan mengalami masalah kesehatan, salah satunya gangguan perilaku makan. Salah satu faktor yang memengaruhi yaitu peer attachment dan parent attachment. Tujuan penelitian: untuk mengetahui adanya hubungan peer dan parent attachment dengan gangguan perilaku makan pada remaja SMA. Metode: Penelitian menggunakan desain cross sectional kepada 65 responden yang diambil berdasarkan purposive sampling. Kriteria responden penelitian yaitu remaja usia 15-17 tahun dan mengalami gangguan perilaku makan. Gangguan perilaku makan diidentifikasi menggunakan alat ukur The Eating Attitudes Test-26 (EAT-26), sedangkan attachment diukur dengan The Inventory of Peer and Parent Attachment (IPPA) yang valid dan reliabel. Penelitian ini telah dinyatakan lolos kaji etik oleh Komite Etik Penelitian Fakultas Ilmu Keperawatan Universitas Indonesia. Hasil: penelitian menunjukkan ada hubungan peer attachment dengan gangguan perilaku makan (p=0,000; r=0,459), dan ada hubungan parent attachment dengan gangguan perilaku makan (p=0,020; r=0,288). Kesimpulan: Rekomendasi adalah sekolah dapat memaksimalkan upaya membangun perilaku hidup sehat dengan mengadakan penyuluhan secara berkala berkaitan dengan berat badan ideal, perilaku makan yang baik, dan gizi seimbangKata Kunci: gangguan perilaku makan, parent attachment, peer attachment, remajaCORRELATION BETWEEN PEER AND PARENT ATTACHMENT WITH DISORDERED EATING BEHAVIORS IN HIGH SCHOOL ADOLESCENTSABSTRACTObjective: This study is aimed to determine the correlation between peer and parent attachment with disordered eating behaviors in high school adolescents. Methods: Its design was cross-sectional with samples and selected through purposive sampling technique.The Criteria of respondents were adolescent aged 15-17 years and experienced disodered eating behaviors. Disordered eating behaviors were identified using the The Eating Attitudes Test-26 (EAT-26), while attachments were measured by The Inventory of Peer and Parent Attachment (IPPA). Both of them are valid and reliable. This research has been declared escaped ethical review by Research Ethics Committee Faculty of Nursing University of Indonesia. Data was analyzed with pearson correlation test. Results: The results showed there were a correlation between peer attachment and disordered eating behaviors (p=0,000; r=0,459). Also, there were a correlation between parent attachment and disordered eating behaviors (p=0,020; r=0,288). Disscussion: Recommendation is schools can maximize efforts to build healthy lifestyles by conducting periodic counseling related to ideal body weight, good eating behavior, and balanced nutrition.Keywords: adolescent, disordered eating behaviors, parent attachment, parent attachment


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